NPIMap

Organization Active NPI

Horizon Behavioral Health

Doing business as Bowyer House

  • Intellectual Disabilities Intermediate Care Facility
  • Madison Heights, VA
National Provider Identifier
1720415524
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
08801005 Issued in VA
Legal business name
HORIZON BEHAVIORAL HEALTH
Doing business as
Bowyer House
Practice address
529 Riverview Road
Madison Heights, VA 24572-3728
Phone
(434) 485-8861
NPI assigned
Oct 11, 2013
Last updated
Aug 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Lucy, LPCNPI 1417189093
Title
Ceo / Executive Director
Phone
(434) 455-7080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 08801005 VA Primary

Addresses

Primary practice location

529 Riverview Road
Madison Heights, VA 24572-3728

Mailing address

PO Box 6316
Lynchburg, VA 24505-6316
Phone (434) 485-8862

Other names 1

  • BOWYER HOUSE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720415524. Details of each certification follow.

  • CCN 49G069 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 49G069

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BOWYER ICF
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 6, 2014
Last certification
Jul 19, 2023
Beds
4
Ownership / control type
Private (non-profit)
Most recent change of ownership
Dec 8, 2021
Facility address
529 Riverview Road
Madison Heights, VA 24572

National Provider Directory

National Provider Directory
Tax ID family
Horizon Behavioral Health15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1720415524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6316",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245056316",
            "telephone_number": "434-485-8862",
            "fax_number": "434-485-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 RIVERVIEW ROAD",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245723728",
            "telephone_number": "434-485-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "LUCY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO / EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "434-455-7080",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "VA",
            "license": "08801005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOWYER HOUSE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BOWYER HOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison Heights, VA

Sources for this page

Verify at the official NPI Registry.